| NPI | 1891032827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 106741) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 201822) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2022-10-06 |